Jacqueline Bertolli, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11002580 Issued in FL

Practice address

1900 Brother Geenen Way
Sarasota, FL 34236-7102

Phone

(941) 556-3220

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jacqui Bertolli-Routh Other name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Cardiology Associates LLCGroup PAC ID 9133377500, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1685

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Manatee Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1720341068

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Manatee Memorial Hospital L P

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1760472799
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1902454572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TURNBERRY CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342419643",
            "telephone_number": "720-231-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BROTHER GEENEN WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367102",
            "telephone_number": "941-556-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLLI",
        "first_name": "JACQUELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUI",
            "last_name": "BERTOLLI-ROUTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myron Z Bernstein, D.P.M.
• Robin Susan Bernstein, MA, LMHC, LMFT
• Melissa Berry
• Tammy Marie Berry, M.D.
• Lawrence A Bertolino, P.T.
• Jane Besen, ARNP
• Michelle Marie Bessette, LMT
• Best Care Senior Living at Sarasota LLC
• Best Choice Companion Service LLC
• Best Choice Companion Service LLC

• Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.